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1. Complainant's Detail Non Resident Rajasthanis(NRRs)
Country *
Mobile No * Phone No
See Previous History Group / Institutions / Organization etc. Yes
ID proof Id No
Name * Gender*
Father's/Husband's Name Email Address
Landmark 1 Landmark 2
Landmark 3 PIN Code
Permanent Address maximum 500 characters
Current Address maximum 500 characters
2. Grievance Area Details
Search Grievance Area Location By Name
Rural / Urban
District * Block / Panchayat Samiti *
Gram Panchayat *
Search Colony
Village *
Landmark 1 Landmark 2
Landmark 3 PIN Code
Grievance Area * maximum 500 characters
Police Station
Constituency Area
3. Registration Details
Register At Event *
Event Name Event Team
Rural / Urban District
Event Block/Panchayat Samiti
Event Gram Panchayat
Event From Date * Event To Date *
Originating Office /Authority
5. Grievance Detail
Department Type *
Department Related To Grievance *
Major Subjects / Project / Scheme
Subjects / Services*
Add
Grievance Category * Grievance Issue *
Description *
maximum 2000 characters
Relief Required *
maximum 200 characters
How long you are facing this problem (Grievance Age)?
Enter Grievance Age
Have You Lodged Same Grievance Earlier Grievance ID
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I hereby declare that all the facts submitted above are true and correct to the best of my knowledge and belief.
Department of Administrative Reforms, Government of Rajasthan, Jaipur
  Copyright © 2014 Government of Rajasthan. Release Date : 25-Jul-2016
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